NO PERMIT NUMBER (2) /o
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. S-/O/ Q
Sanitary No.
Date 19617_
Appllca 'on is here by made fo permit to
a story, Type
to 6e occupied only a.-Cl 4F
in accordance with Plot Plan, Plans and Specification filed herewithe
Estimated Value of Improvements $
FEES Plan Check $
Owner . Address
Contr. Address
Phone State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Data 1.96 FEES
Contr. 4r2AL& ttC. Address
Phone �9�-�e27ao yypp
� Sto to License ��7. 0/3
Approved
APPLICATION FOR PLUMBING & GAS PERMIT fit/
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APP ICATION FOR APPLIANCE PERMIT �
Date �� 196 FEES L7i S
Contr. "��0% 4" �/ Address tZX,2
Phone 0z fog State License S
� Approved
?42�
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATEINSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING
DA E INSPECTOR
FINISH WIRING
D TE INSPECTOR
FIXTURES
DATE INSPECTOR
MOTORS
D INSPECTOR
FINAL
DAT INSPECTOR
PLUMBING & GAS
UNDERGROUND
DATE INSPECTOR
PARTIAL ROUGH
DATE INSPECTOR
ROUGH COMPLETE
TE INSPECTOR
MAIN DRAIN
INSPECTOR
GAS PIPING �
OAT INSPECTOR
FINAL
' DATE INSPECTOR
MISC
D E INSPECTOR
MISC
DAT INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
la,-t No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO p
File No. s�o�Q
d Sanitary No.
Date 1964
Ap lication is hereby made for a permit to
11 a � start, Type- Ci"
to be occupied only as
in accordance with f0t plan, plans alorspecification filed herewith.
Estimated Value of Improvements $
G. OO o
FEES a� C}� Plan Check $
Owner Address
_e QWt.r—^"�../. Address
C. . —� W Address
Phone d3�3 -TS'�� State License
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr, Address
Phone State License
Approved
Applicants agree not to'violate any of the
Workman's Compensation Laws of the
State of California -
RECORD OF INSPECTION APPROVALS
FOUNDATION �- —4// BUILDING
UNDERFLOOR Date Inspector
FRAME AP
t.%mbIy nspector
Do to Inspector
LATH 8 PI AST
FINALIAW(n to Inspector
D Insoector
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
RECEPTACLES ROUGH WIRING Data Inspector
FIXTURES FINISH WIRINGDate Inspector_
N.P. CHARGE FIXTURES Date Inspector
PERMIT FEE Motors Date Inspector
TOTAL FEES FINAL Date Inspector
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH,
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
Date Inspector
TOTAL FEE M_ ISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
INSPECTED
Data Inspector 4
�i o 94P
NO. STREET
w Z m t P TIO FOR BUILDING PERMIT
T °
TY OF CUPF.RTINO
5 O
MAY Sanitary No.
i /Uatr 1966 , 196_ Permit No.-
0
o C1TYp0pticCbpgby made fo a permit to —471-Y /
<m a 7 ssttory,/�¢T F� ud ng
to be occupied only a in accordance with
0 o Plans, Specifications and Plot-Plan herewith. It
k Fee
1 N V _
Estimated Value of Improvements, $-4 �� — Fee$ CZ/ o-G
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be cot LedIh
)v .
- a Owner �� Address
a s By Addres
A o Phone NC d-S S S S� "
-`O Approv
�\ Stale LICenS BUILDING INSPECTOR